Aim 1: To describe variability in PT delivery across the stages of PD, with a focus on identifying patterns consistent with preventive PT for people with early stage PD. Hypotheses: Less than half of the surveyed centers will report explicit preventive PT programs, but those that have preventive PT programs will report increased PT utilization in the early stages of PD (HY &lt; 2.5) compared to centers dominated by traditional PT referrals occurring in reaction to a decline in mobility. Quantitative analysis of survey data from physical therapists and physicians will be used to describe distinct patterns of PT referral, treatment, outcome measures, goals, and practice patterns (number and duration of visits) across the stages of PD. Aim 2: To identify barriers and facilitators of implementing preventive PT for people with PD. Hypotheses: Barriers to successful implementation will include reimbursement, scheduling and operations, and patient-specific concerns, while facilitators will include support from leadership, sophisticated reimbursement strategies, and presence of strong community exercise resources. Barriers and facilitators identified using qualitative analysis of the focus groups and key informant interviews (physical therapists, physicians, healthcare administration, and patients) at sites with and without preventive PT programs will be used to develop recommendations for future implementation of preventive PT.
|Effective start/end date
|9/1/16 → 8/31/19
- Foundation for Physical Therapy (Agreement 9/8/16)
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